244802 04/29/15 `;�'..a�q,� CITY OF CARMEL, INDIANA VENDOR: 364765
j; ONE CIVIC SQUARE SOUTHERN WINE&SPIRITS-INDIANA CHECK AMOUNT: S"""'208.74'
=4 CARMEL, INDIANA 46032 PO sox 864860 CHECK NUMBER: 244802
'M«oN ORLANDO FL 32886-4860 CHECK DATE: 04/29/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239040 1865742 208.74 FOOD & BEVERAGES
Southern Wine and Spirits of Indiana DRAFT INVOICE
1865742
REMIT To Stop k: 13
800-276-5148 Route M: 108-750
PO BOX#864860 Dellvered By: DLwe-108 Arnold
ORLANDO,RL 32886-4860 Sales Person: 995
Sales Person Phone:
BOLD TO SW TO
BROOKSHIRE GOLF CLUB BROOKSHIRE GOLF CLL.6
'C/O:CITY OF CAROL 12120 BROOKSHIRE PKWY
12120 BROOKSHIRE PKWY CARMEL,IN 46033
CARMEL,IN 46033 317-846-7431
317-846-7431
PO NUMBER DE% POINT/ PERMIT EXP INVOICE DATE DELIVERY DATE/TIME
N 29-03542 7/13/15 4/15/15
ACCOUNT r VENOW r COUNTY REFERENCE r
1653 HBmllton
CS/BT ITEM MtOI
IMT UNIT 11UT NET TA%ES TOTAL
FYtICf DISCOINT NT
0/I SEAG WAS 7 CROWN 80 18.72 0.00 18.72 0.00 18.72
ITEMft: 3001 BPC: 12-I,OL
0/2 CROWN ROYAL CANADIAN 80(NO BOX) 34.34 0.00 34.34 0.00 68.68
ITEM#: 10947 BPC: 12-1.C1-
0/3
.OL0/3 ABSOLUT VODKA 80 29.00 0.00 29.00 0.00 87.00
ITEM#: 15402 BPC: 12-1.CL
0/1 CROWN ROYAL REGAL APPLE 70 34.34- 0,00 34.34 0,00 34,34
ITEM#: 373356 BPC: 12-S.a.
0/0 DELIVERY CHARGE 0.00 0.00 0,00 0100 0.00
ITEM#: 126161 BPC: I-UNIT
TOTAL TOTAL TOTAL TOTAL TOTAL
CS/BTLS OROSB AMT DISCOIWTB NET AMOUNT TAt�B
017 208.74 0.00 208.74 0,00
PAYMENT DUE DATE PAY THIS AMOUNT
4/29/15 208.74
PAYMENT TERMS:NET 15 DAYS
TERMS AND CONDITIONS 7ERMB
This sale shall be made h accordance with al applicable laws and A service�har�e of$M.00 willbe charged on the occurrence of a
regulations.Customer shall be respordiB for al sales tax due on bour¢ed Crack,Please evamYe goods before sklryrp.Al lobus,
sales of goods N the went of actin to colact Indebtedness ncLdng breakage a shortage mutt be made Immediately upon
created y tha sale of goods,Southern Wine&Sionts of Indian, recept of sh'lornent.OLR RESPONSIBILITY FOR SAFE DELIVERY OF
LLC shat ba sntiWd to recover from the custorner herein the GOODS CEASES WEN GOODS ARE IN BUYERS POSSESSION OR
pncwlpal amount of the hclebtedness,all accrued and accruing BUYERS AGENT SIGNS DELIVERY RECEIPT,Such ac0eptance of
servke Oranges as of the date of the sale of these goods,d goods agreement agrexnt that this hadce Is payable to the
accrued rd accruing court costs and reasonable attorney's fees. address above and that the total Invoice B dna and payable within
Custaner further agrees that any lawsuit hvohhg am'dispute If,-'days of the Invoke date hduded if rot then fully paid
between the company and licensee my be Ned h Johnson a this and al prior hvdces will,as permitted by law,tear Interest or
Make County at Southern Wye&Sprits'option, servke cmrpes from date of purchase at 1.5%per month and will
result h Ess of Y1y dscotnt ad may result In bus Of uedt
privieges,reaSOnablG cott aid attorreyt"fees wI be added.
NO CLAIMS FOR SNORTAGEB WILL BE ALLOWED UNLESS INSPECTED AND NOTED AT TM OF DELIVERY
DATE -
VOUCHER NO. WARRANT NO.
ALLOWED 20
Southern Wine & Spirits -Indiana
IN SUM OF$
P.O. Box 864860
Orlando, FL 32886-4860
$208.74
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1207 I 1865742 I 42-390.40 I $208.74 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, April 17, 2015
Director, Brookshirejk3olf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
04/15/15 1865742 Wine and Spirits $208.74
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer